Volume 19, Issue 2 (5-2020)
JRUMS 2020, 19(2): 213-218 |
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Hemmati H, Esmaeili Delshad M S, Sarrafi M, Haghdoost A, Ghadimi P, Jafaryparvar Z. Popliteal Traumatic Arteriovenous Fistula after Blunt Trauma: A Case Report. JRUMS 2020; 19 (2) :213-218
URL: http://journal.rums.ac.ir/article-1-4855-en.html
URL: http://journal.rums.ac.ir/article-1-4855-en.html
Razi Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran
Abstract: (1641 Views)
Background and Objectives: Due to the rarity of the popliteal intravenous artery following posterior knee dislocation, this study will explain a rare case.
Case Report: This case report describes a 46-year-old man with blunt trauma, posterior knee fracture and cruciate ligament arthroscopy and ligament repair. In the postoperative follow-up, the patient developed pain and swelling. On examination, there was a thrill in poplité and lower extremity edema. Doppler ultrasonography and angiography confirmed the presence of arteriovenous fistula in the popliteal area. The patient underwent surgery and discharged without any complication.
Conclusion: Complications of posterior knee dislocation are usually thrombosis and ischemia of the limb. As venous arterial fistula following blunt trauma to the knee is rare, lack of diagnosis and consequently delayed treatment can cause irreversible complications; therefore, surgeons should always consider the possibility of these complications.
Key words: Arteriovenous fistula, knee trauma, Popliteal artery
Funding: There was no fund for this study.
Conflict of interest: None declared
Ethical approval: Informed consent was obtained from the patient at the time of admission to the hospital, in order to anonymously use the medical data for scientific purposes, all information reported without mentioning his name.
How to cite this article:Hemmat H, Esmaeili Delshad M S, Sarrafi M, Haghdoost A, Ghadimi P, Jafaryparvar Z. Popliteal Traumatic Arteriovenous Fistula After Blunt Trauma: A Case Report. J Rafsanjan Univ Med Sci 2020; 19 (2): 213-18. [Farsi]
Case Report: This case report describes a 46-year-old man with blunt trauma, posterior knee fracture and cruciate ligament arthroscopy and ligament repair. In the postoperative follow-up, the patient developed pain and swelling. On examination, there was a thrill in poplité and lower extremity edema. Doppler ultrasonography and angiography confirmed the presence of arteriovenous fistula in the popliteal area. The patient underwent surgery and discharged without any complication.
Conclusion: Complications of posterior knee dislocation are usually thrombosis and ischemia of the limb. As venous arterial fistula following blunt trauma to the knee is rare, lack of diagnosis and consequently delayed treatment can cause irreversible complications; therefore, surgeons should always consider the possibility of these complications.
Key words: Arteriovenous fistula, knee trauma, Popliteal artery
Funding: There was no fund for this study.
Conflict of interest: None declared
Ethical approval: Informed consent was obtained from the patient at the time of admission to the hospital, in order to anonymously use the medical data for scientific purposes, all information reported without mentioning his name.
How to cite this article:Hemmat H, Esmaeili Delshad M S, Sarrafi M, Haghdoost A, Ghadimi P, Jafaryparvar Z. Popliteal Traumatic Arteriovenous Fistula After Blunt Trauma: A Case Report. J Rafsanjan Univ Med Sci 2020; 19 (2): 213-18. [Farsi]
Type of Study: Case Report |
Subject:
Surgery
Received: 2019/07/8 | Accepted: 2020/05/6 | Published: 2020/05/21
Received: 2019/07/8 | Accepted: 2020/05/6 | Published: 2020/05/21
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